| Sources of prenatal care data and their association with birth outcomes of HIV-infected women. | |
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MedLine Citation:
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PMID: 10630149 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: Different sources of prenatal care data were used to examine the association between birth outcomes of HIV-infected women and the Adequacy of Prenatal Care Utilization (APNCU) index. METHODS: Adjusted odds ratios of birth outcomes for 1858 HIV-positive mothers were calculated for APNCU indexes on the basis of birth certificate data or 3 types of physician visits on Medicaid claims. RESULTS: Claims- and birth certificate-based APNCU indexes agreed poorly (kappa < 0.3). Only the broadest claims-based APNCU index had lower adjusted odds ratios for low birthweight (0.64; 95% confidence interval [CI] = 0.49, 0.84) and preterm birth (0.70; 95% CI = 0.54, 0.91). The birth certificate-based index had a reduced adjusted odds ratio (0.73; 95% CI = 0.56, 0.95) only for preterm birth. CONCLUSIONS: The association of birth outcomes and adequacy of prenatal care in this HIV-infected cohort differed significantly depending on the source of prenatal care data. |
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Authors:
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B J Turner; J Cocroft; C J Newschaffer; W W Hauck; T R Fanning; M Berlin |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: American journal of public health Volume: 90 ISSN: 0090-0036 ISO Abbreviation: Am J Public Health Publication Date: 2000 Jan |
Date Detail:
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Created Date: 2000-01-28 Completed Date: 2000-01-28 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 1254074 Medline TA: Am J Public Health Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 118-21 Citation Subset: AIM; IM; X |
Affiliation:
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Center for Research in Medical Education and Health Care, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pa., USA. barbara.turner@mail.tju.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Birth Certificates Cohort Studies Female HIV Infections* / transmission Health Services Research / statistics & numerical data* Humans Infant, Low Birth Weight Infant, Newborn Infant, Premature Infectious Disease Transmission, Vertical / statistics & numerical data Insurance Claim Review Logistic Models Medicaid / statistics & numerical data New York / epidemiology Odds Ratio Pregnancy Pregnancy Complications, Infectious* Pregnancy Outcome / epidemiology* Prenatal Care / utilization* Retrospective Studies United States |
| Grant Support | |
ID/Acronym/Agency:
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R01 DA07906/DA/NIDA NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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